Contact Lens Case Reports: <br>Corneal Erosion Over ICRS During Scleral Lens Wear</br> - Takeaways - MDSpire

Contact Lens Case Reports: <br>Corneal Erosion Over ICRS During Scleral Lens Wear</br>

  • By

  • Gregory W. DeNaeyer, OD, FAAO

  • May 1, 2026

  • 4 min

Share

  • 1

    Patients with moderate or worse keratoconus often require specialty lenses after ICRS implantation to improve visual acuity.

  • 2

    ICRSs are designed to enhance visual acuity but can alter corneal topography, complicating scleral lens fitting.

  • 3

    A case study details a 55-year-old keratoconus patient who experienced chronic erosion requiring ICRS removal after scleral lens wear.

  • 4

    The patient achieved 20/20 acuity with a properly fitted scleral lens but later developed epithelial erosions over her inferior ICRS.

  • 5

    Successful ICRS removal allowed the patient to wear the same scleral lens without further complications.

Original Source(s)

Related Content